P10.37 Prevalence, Health Status, Cardiovascular Disease And Co-Morbidities Of Chronic Widespread Pain In Primary Care.

E. Morales-Espinoza1, B. Adriyanov Kostov1, D. Cararach Salami1, Z. Herreras Perez1, A. Picas Jufresa1, J. Ortiz Molina1, L. Benito Serrano1, L. Sebastian Montal1, M. Ramos-Casals2, A. Sis¢ Almirall1;
1Consorci d'Atenci¢ Prim…ria de Salut Eixample (CAPSE), IDIBAPS and University of Barcelona, Barcelona, Spain, 2Institut de Medicina Interna i Dermatolog¡a (ICMiD). Hospital Cl¡nic de Barcelona. IDIBAPS and University of Barcelona, Barcelona, Spain.
Enma Marianela Morales-Espinoza
CAP Les Corts (CAPSE)
Mejia Lequerica s/n
Zip: 08028
Email: moralese@clinic.ub.es
Phone: 0034932279924
Fax: 0034932275597
Objectives: Estimate prevalence of chronic widespread pain (CWP), related painful syndromes, compare quality of life and cardiovascular risk factor with reference population.
Methodology: A multicentre case-control study (age-gender matched) was carried out. A representative sample of 3048 patients were recruited from May 2010 to November 2011. American College of Rheumatology (ACR) classification criteria for CWP was considered for CWP diagnosis. Questionnaires on pain severity and interference (BPI), quality of life (SF-36), functional capacity (HAQ), anxiety and depression (HADS) and quality of sleep (SQ) were administrated. Cardiovascular risk assessment (Framingham-Regicor scale) and comorbidity index (Charlson) were evaluated.
Results: 168 patients met criteria for CWP (prevalence 5.5%, 95%CI:[4.75%-6.38%]). 130 accepted to participate in the study, 120 (92.3%) were women, with a mean age 61.7ñ11.7. Related painful syndromes: fibromyalgia in 65 (50%), arthrosis in 53 (40.8%) and autoimmune or rheumatic diseases in 11 ( 8.4%). 124 patients without CWP were evaluated as control group. Patients with CWP have higher pain intensity and interference (BPI: 6.3 vs 3.1; pConclusion: The profile of patients with CWP is a sedentary woman with fibromyalgia or osteoarthritis. Obesity, hypertension, diabetes mellitus and cardiovascular diseases are more frequent in CWP sample. CWP is related to a worsening on quality of life and it is associated to a higher prevalence of anxiety, depression and disability.
Prevalence, health status, cardiovascular disease and co-morbidities of chronic widespread pain in Primary Care.